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General NPI Number Information
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NPI Number | 1205188281
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Entity Type | Organization
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Legal Business Name | WALGREENS
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 1502 INDUSTRIAL RD
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City | EMPORIA
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State | KS
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Zip | 66801-6220
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Country | US
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Telephone | 620-342-3318
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Fax |
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Provider Business Mailing Address
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Address Line | 1502 INDUSTRIAL RD
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City | EMPORIA
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State | KS
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Zip | 66801-6220
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | KARISHMA KHANDELWAL
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Credential |
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Telephone | 913-832-4314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 115637
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License Number State | KS
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